| Njcpx Llc | |
|
1005 Rahway Ave Unit 11c Avenel NJ 07001-2066 | |
| (732) 690-5846 | |
| Not Available |
| Full Name | Njcpx Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1005 Rahway Ave Unit 11c, Avenel, New Jersey |
| Authorized Official Name and Position | Walter Gene Husar (OWNER) |
| Authorized Official Contact | 7326905846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Njcpx Llc 1005 Rahway Ave Unit 11c Avenel NJ 07001-2066 Ph: (732) 690-5846 | Njcpx Llc 1005 Rahway Ave Unit 11c Avenel NJ 07001-2066 Ph: (732) 690-5846 |
| NPI Number | 1134252810 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1658330261 |
|---|---|
| Medicare Enrollment ID | O20041008000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134252810 | NPI | - | NPPES |
| 3549743 | Other | AETNA HMO PROVIDER NUMBER | |
| 2592249 | Other | GHI PROVIDER NUMBER | |
| 7267536 | Other | AETNA PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 250MA05323800 (New Jersey) | Primary |
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